Samuel, Suzana Marcella

Samuel, Suzana Marcella is an individual health care provider with primary practice located at 4045 E Bell Rd Ste 121, Phoenix AZ 85032-2236. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Samuel, Suzana Marcella can be contacted via phone (602) 867-2884.

Contact Information

Primary practice address
4045 E Bell Rd Ste 121 Phoenix AZ 85032-2236
Phone: (602) 867-2884
Fax: (602) 482-2872
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 13916 Arizona
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 30897 Indiana
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 15102 New York

Profile Details

NPI number 1356348239
LBN Legal business name Samuel, Suzana Marcella
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356348239 NPPES
Arizona MEDICAID 260084

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